#aaeth ,,congress #b;d ,session ,s4 #bbgh ,,an ,,act ,to amend the ,public ,health ,service ,act to provide grants to improve health care in rural areas4 #a4 ,short title ,this ,act may be cited as the ,state ,offices of ,rural ,health ,reauthorization ,act of #bjah4 #b4 ,state offices of rural health ,section #cch;,j of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bedr7 is amended to read as follows3 #cch;,j4 ,grants to ,state offices of rural health 7a7 ,in general ,the ,secretary1 acting through the ,director of the ,federal ,office of ,rural ,health ,policy 7established under section #gaa of the ,social ,security ,act71 shall make grants to each ,state ,office of ,rural ,health for the purpose of improving health care in rural areas4 7b7 ,requirement of matching funds 7#a7 ,in general ,subject to paragraph 7#b71 the ,secretary may not make a grant under subsection 7a7 unless the ,state office of rural health involved agrees1 with respect to the costs to be incurred in carrying out the purpose described in such subsection1 to provide non-,federal contributions toward such costs in an amount equal to #c for each #a of ,federal funds provided in the grant4 7#b7 ,waiver or ,reduction ,the ,secretary may waive or reduce the non-,federal contribution if the ,secretary determines that requiring matching funds would limit the ,state office of rural health's ability to carry out the purpose described in subsection 7a74 7#c7 ,determination of amount of non-,federal contribution ,non-,federal contributions required in paragraph 7#a7 may be in cash or in kind1 fairly evaluated1 including plant1 equipment1 or services4 ,amounts provided by the ,federal ,government1 or services assisted or subsidized to any significant extent by the ,federal ,government1 may not be included in determining the amount of such non-,federal contributions4 7c7 ,certain required activities ,recipients of a grant under subsection 7a7 shall use the grant funds for purposes of-- 7#a7 maintaining within the ,state office of rural health a clearinghouse for collecting and disseminating information on-- 7,a7 rural health care issues2 7,b7 research findings relating to rural health care2 and 7,c7 innovative approaches to the delivery of health care in rural areas2 7#b7 coordinating the activities carried out in the ,state that relate to rural health care1 including providing coordination for the purpose of avoiding redundancy in such activities2 and 7#c7 identifying ,federal and ,state programs regarding rural health1 and providing technical assistance to public and nonprofit private entities regarding participation in such programs4 7d7 ,requirement regarding annual budget for office ,the ,secretary may not make a grant under subsection 7a7 unless the ,state involved agrees that1 for any fiscal year for which the ,state office of rural health receives such a grant1 the office operated pursuant to subsection 7a7 of this section will be provided with an annual budget of not less than #aej1jjj4 7e7 ,certain uses of funds 7#a7 ,restrictions ,the ,secretary may not make a grant under subsection 7a7 unless the ,state office of rural health involved agrees that the grant will not be expended-- 7,a7 to provide health care 7including providing cash payments regarding such care72 7,b7 to conduct activities for which ,federal funds are expended-- 7i7 within the ,state to provide technical and other nonfinancial assistance under section #ccj;,a7f72 7ii7 under a memorandum of agreement entered into with the ,state office of rural health under section #ccj;,a7h72 or 7iii7 under a grant under section #cch;,i2 7,c7 to purchase medical equipment1 to purchase ambulances1 aircraft1 or other vehicles1 or to purchase major communications equipment2 7,d7 to purchase or improve real property2 or 7,e7 to carry out any activity regarding a certificate of need4 7#b7 ,authorities ,activities for which a ,state office of rural health may expend a grant under subsection 7a7 include-- 7,a7 paying the costs of maintaining an office of rural health for purposes of subsection 7a72 7,b7 subject to paragraph 7#a77;,b77iii71 paying the costs of any activity carried out with respect to recruiting and retaining health professionals to serve in rural areas of the ,state2 and 7,c7 providing grants and contracts to public and nonprofit private entities to carry out activities authorized in this section4 7#c7 ,limit on ,indirect ,costs ,the ,secretary may impose a limit of no more than #ae percent on indirect costs claimed by the recipient of the grant4 7f7 ,reports ,the ,secretary may not make a grant under subsection 7a7 unless the ,state office of rural health involved agrees-- 7#a7 to submit to the ,secretary reports or performance data containing such information as the ,secretary may require regarding activities carried out under this section2 and 7#b7 to submit such a report or performance data not later than ,september #cj of each fiscal year immediately following any fiscal year for which the ,state office of rural health has received such a grant4 7g7 ,requirement of application ,the ,secretary may not make a grant under subsection 7a7 unless an application for the grant is submitted to the ,secretary and the application is in such form1 is made in such manner1 and contains such agreements1 assurances1 and information as the ,secretary determines to be necessary to carry out such subsection4 7h7 ,noncompliance ,the ,secretary may not make payments under subsection 7a7 to a ,state office of rural health for any fiscal year subsequent to the first fiscal year of such payments unless the ,secretary determines that1 for the immediately preceding fiscal year1 the ,state office of rural health has complied with each of the agreements made by the ,state office of rural health under this section4 7i7 ,authorization of appropriations 7#a7 ,in general ,for the purpose of making grants under subsection 7a71 there are authorized to be appropriated #ab1ejj1jjj for each of fiscal years #bjah through #bjbb4 7#b7 ,availability ,amounts appropriated under paragraph 7#a7 shall remain available until expended4 4 ,passed the ,senate ,july #bd1 #bjah4,secretary